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Tympanostomy Tubes 2022

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7 Table 4. Comparison of Short-term vs. Long-term Tympanostomy Tubes Characteristic Short-term tube Long-term tube Other common uses (relative indications) Repeat ear tube surgery in children without significant risk factors or anatomic changes in the eardrum that would warrant a long-term tube Cle palate, stenotic ear canal, abnormal tympanic membrane (atrophy, atelectasis, retraction pocket), premature extrusion of multiple prior short-term tubes Advantages Reduced incidence (vs. long-term tubes) of perforation, chronic otorrhea, granulation tissue, myringosclerosis; ease of insertion Longer period of middle ear ventilation, potential to avoid repeat insertion of short-term tubes and exposure to general anesthesia; ability to insert silastic T-tube in stenotic canal Disadvantages Potential for early extrusion and need for repeat tube surgery Increased incidence (vs. short-term tube) of perforation, chronic otorrhea, granulation tissue, myringosclerosis, medialization (if short sha with no outer flange); more difficult to insert * Typical duration listed, recognizing that duration may differ based on the specific tube used. (cont'd)

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